NPI | 1861871683 |
---|---|
Former Name | MARY KATHERINE SNIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL 37058) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-26 |
Last Update Date | 2021-08-02 |